Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.11 / $5,165.00 / $17,380.00	Facility		$249.11	$5,165.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.23 / $201.86 / $594.55	Professional		$97.23	$201.86	$594.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.02 / $220.46 / $474.23	Professional		$117.02	$220.46	$474.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,321.49	Facility		$67.90	$100.00	$5,321.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $235.22 / $465.28	Professional		$114.20	$235.22	$465.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $1,658.93 / $4,917.14	Facility		$339.00	$1,658.93	$4,917.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.15 / $217.11 / $439.19	Professional		$109.15	$217.11	$439.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.52 / $137.47 / $366.59	Professional		$100.52	$137.47	$366.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.63 / $223.43 / $407.76	Professional		$105.63	$223.43	$407.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $595.50 / $603.95 / $12,000.00	Facility		$595.50	$603.95	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $902.00 / $1,561.20 / $1,880.93	Professional		$902.00	$1,561.20	$1,880.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $310.95	Professional		$32.34	$32.34	$310.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.26 / $206.73 / $355.47	Facility		$110.26	$206.73	$355.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $240.74 / $520.13	Professional		$111.36	$240.74	$520.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $335.45 / $335.45 / $663.64	Professional		$335.45	$335.45	$663.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.52 / $130.68 / $301.58	Professional		$100.52	$130.68	$301.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $7,218.00 / $15,471.00	Facility		$2,181.00	$7,218.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.88 / $229.46 / $493.59	Professional		$166.88	$229.46	$493.59